Individual provider Active NPI

Carissa Lynn Tryba

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1982588943
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000000000000000 Issued in MA
Practice address
800 Grayson Dr
Springfield, MA 01119-1500
Phone
(413) 531-3113
Fax
(413) 531-3113
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000000000000000 MA Primary

Addresses

Primary practice location

800 Grayson Dr
Springfield, MA 01119-1500

Mailing address

800 Grayson Dr
Springfield, MA 01119-1500
Phone (413) 531-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000000000000000MAMDNeurology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1982588943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAYSON DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191500",
            "telephone_number": "413-531-3113",
            "fax_number": "413-531-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAYSON DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011191500",
            "telephone_number": "413-531-3113",
            "fax_number": "413-531-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBA",
        "first_name": "CARISSA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "000000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.